MEDICARE: AYMARA VALLADARES LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH10060	FL
2	101YM0800X	Mental Health Counselor	CP5148-R	NV
3	101YP2500X	Professional Counselor	0701008390	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184865289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYMARA VALLADARES LMHC

Provider Business Mailing Address
First Line	:	3269 GRAYSON LAKE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6614
Country	:	US
Telephone Number	:	702-772-2716
Fax Number	:	305-397-1273

Provider Business Practice Location Address
First Line	:	7730 W CHEYENNE AVE STE 114
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8412
Country	:	US
Telephone Number	:	702-487-3242
Fax Number	:	702-508-4101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2009
Last Update Date	:	10/16/2023

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